Individual
MR. EDWARD FRANCIS FRECCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 BRYON AVENUE, BROCKTON, MA 02301-4201
(508) 583-7595
(508) 559-2278
Mailing address
77 BRYON AVENUE, BROCKTON, MA 02301-4201
(508) 583-7595
(508) 559-2278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151454
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077646
NEIBORHOOD HEALTH PLAN
—
01
—
0403406
UNITED HEALTHCARE
—
01
—
110192524
RAILROAD MEDICARE
—
01
—
15454
TUFTS HEALTHCARE
—
01
—
3078300
AETNA
—
05
—
3191575
—
MA
01
—
66675
HARVARD PILGRIM
—
01
—
J16953
BCBS
—
01
—
M19070
BCBS GROUP
—
Enumeration date
09/29/2006
Last updated
07/25/2011
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